On Ingestion of Razor Blades

Johnson, Wilbur E.

doi:10.1001/jama.1969.03160110135030

Cited by 15 publications

(3 citation statements)

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“…This was also true in the present case, as the can lid, after removal via enterotomy, was found to be extremely sharp and could have caused serious injury if used as a cutting tool. In other cases, prisoners have swallowed sharp objects, but first covered them with paper [5]. This would suggest that the primary intention is not solely to cause self-injury.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Foreign Body Ingestion in a Schizophrenic Patient: Case Report

Abraham

Alao

2005

Int J Psychiatry Med

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The topic of foreign body ingestion has received extensive coverage in the areas of surgery, emergency medicine, and pediatrics. A subset of this topic, the intentional ingestion of foreign bodies, however, is much less common, and requires special evaluation and management. Here, we report a case of ingestion of a rolled, metal tuna can lid in a male prison inmate previously diagnosed with depression and paranoid schizophrenia. Following evaluation by the surgical team, the foreign body was removed by laparotomy and the patient was discharged back to the prison without complication. In many cases, ingestions of this type involve a command hallucination ordering the patient to swallow the foreign body. Interestingly, the patient in the present case reported auditory hallucinations commanding him not to swallow the can lid. On further investigation, we found that patient had a proclivity toward this swallowing behavior even prior to his incarceration. Early identification of inmates with this proclivity has important implications for treatment and prevention.

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Section: Discussionmentioning

confidence: 99%

An Unusual Foreign Body Ingestion in a Schizophrenic Patient: Case Report

Abraham

Alao

2005

Int J Psychiatry Med

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“…Those which cause most trouble are fish bones, which may cause perforation and mimic perforated peptic ulcer or appendicitis (Ashby and Hunter-Craig, 1967). Suprisingly, razor blades do not seem to cause much trouble (Johnson, 1969), possibly because of a local gut protective mechanism, the 'mural withdrawal reflex' (Maimon and Milligan, 1972).…”

Section: Discussionmentioning

confidence: 99%

Removal of ingested coins utilizing fibre-endoscopy and special forceps

Larkworthy¹,

Jones²,

Mahoney³

et al. 1974

Journal of British Surgery

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“…13 Although the overall incidence of gastrointestinal perforation due to foreign body ingestion is less than 1%, sharp and pointed objects result in perforation rates of up to 35%, most commonly in the area of the ileocecal valve. 7,14,15 For this reason, a sharp or pointed object in the area of the stomach or proximal duodenum should be removed endoscopically if feasible. Administration of 0.5 mg of glucagon intravenously may help to slow motility and aid in retrieval.…”

Section: Sharp Foreign Bodiesmentioning

confidence: 99%

Endoscopic Retrieval Devices

Bounds

2006

Techniques in Gastrointestinal Endoscopy

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Endoscopy is useful in the clearance of food bolus impactions, retrieval of foreign bodies, and removal of bile duct stones and resected mucosal lesions, which is accomplished by different endoscopic accessories that are passed through the endoscope. This chapter describes these endoscopic retrieval devices, their operation, and clinical applications. Tech Gastrointest Endosc 8: [16][17][18][19][20][21]

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On Ingestion of Razor Blades

Cited by 15 publications

References 0 publications

An Unusual Foreign Body Ingestion in a Schizophrenic Patient: Case Report

An Unusual Foreign Body Ingestion in a Schizophrenic Patient: Case Report

Removal of ingested coins utilizing fibre-endoscopy and special forceps

Endoscopic Retrieval Devices

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